Missouri Southern State University

Law Enforcement Academy Online Application

First Name

Last Name

Street Address

Address Line #2

City

State

Zip

Country

Primary Phone Number

Other Country

Date of Birth

Personal Email

Academy Class Interest

Are you currently an MSSU Student?

YesNo

Please provide your Student ID#, including the leading S

Have you ever applied for or attended any law enforcement academy?

YesNo

Name of Academy

Dates Attended

Did you successfully complete the academy?

YesNo

Please explain why not

Have you ever been arrested? (This includes any arrest, regardless of outcome)

YesNo

Basic Qualifications to attend the MSSU LE Academy (*Must meet all qualifications to be eligible*)

I will be at least 21-years-old at the time of, or within 6 months of graduation from the AcademyI am a US citizenI have graduated high school or have obtained a GED certificateI have a valid, non-restricted driver's license

Have you served in the military?

YesNo

Were you honorably discharged, general discharged, or dishonorably discharged?

Contact Information